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Organization
SUNCOAST PHYSICAL THERAPY & REHAB. LLC
Active
Organization
SUNCOAST PHYSICAL THERAPY & REHAB. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI HUNTER (ADMINISTRATOR)
(941) 752-1625
Entity
Organization
Contact information
Practice address
308 53RD AVE E, SUITE 'A', BRADENTON, FL 34203-4706
(941) 752-1625
(941) 752-2936
Mailing address
308 53RD AVE E, SUITE 'A', BRADENTON, FL 34203-4706
(941) 752-1625
(941) 752-2936
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18280B
BCBS
—
Enumeration date
03/11/2008
Last updated
07/15/2008
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